			<div>
				<ul class="breadcrumb">
					<li>
						<a href="<?php echo site_url("menu/survey");?>">Quản lý khảo sát</a> / <a href="<?php echo site_url("surveytype");?>">Loại khảo sát</a> / <a href="<?php echo site_url("survey/index/".$stid);?>"><?php echo $stname ?></a> / Thêm phiếu khảo sát
					</li>
				</ul>
			</div>
			<div class="row-fluid">
				<div class="box span12">
					<div class="box-header well">
						<h2><i class="icon-pencil"></i> Bước 2: Thiết kế phiếu khảo sát</h2>
						<div class="box-icon">
							<a href="#" class="btn btn-minimize btn-round"><i class="icon-chevron-up"></i></a>
						</div>
					</div>
					<div class="box-content">
						<form class="form-horizontal" method="post">
							<fieldset>
								<div class="control-group">
									<label class="control-label" for="dtid">Khung nhập thông tin</label>
									<div class="controls">
										<select data-rel="chosen" class="span10" id="dtid" name="dtid">
											<option></option>
											<?php foreach($dtlist as $row){?>
											     <option value="<?php echo $row['design_template_id'];?>" img="<?php echo base_url().$row['image_link']; ?>"><?php echo $row['design_template_name']; ?></option>
                                            <?php };?>
										</select>
                                        <img style="margin-top: 10px;" id="tdimage" />
									</div>
								</div>
								<div class="form-actions">
									<button type="submit" name="submit" value="create" class="btn btn-primary"> Tiếp bước 3</button>
									<button type="reset" class="btn">Quay lại bước 1</button>
								</div>
							</fieldset>
						</form>
					</div>
				</div><!--/span-->
            </div>
    <!-- Placed at the end of the document so the pages load faster -->
    <!-- Internal Script -->
    <script type="text/javascript">
        $(document).ready(function(){
            //Event of button Edit Stype
            $('#dtid').change(function(){
                var img = $('#dtid option:selected').attr('img');
                $('#tdimage').attr('src', img);
            });
        });
    </script>
    <!-- End Internal Script -->